First, posture care: instruct patients to take an upright or semi-seated position after meals. For patients with severe reflux, the bedside should be raised 20 ~ 30cm when lying flat.
Second, medication care: guide and inform patients to take medicine according to the doctor's advice, and do not arbitrarily change the drug type, increase or decrease the dose, or even stop taking medicine. Pay attention to the efficacy and adverse reactions of drugs.
Third, oral care: patients with self-care ability should brush their teeth in the morning and evening and rinse their mouths after meals. For patients who have no ability to take care of themselves, nurses should choose appropriate mouthwash and do oral care for them.
Nursing care of complications: closely observe the changes of patients' condition, and report to the doctor in time when complications such as reflux ulcerative esophagitis, pneumonia or bleeding are difficult to control.
5. Diet care: instruct patients to eat less and eat more meals, choose a low-fat and digestible diet, appropriately increase foods such as bean products, lean pork and eggs, eat less or not eat fried foods, avoid spicy foods, and avoid eating strong tea, coffee, chocolate and other foods. Drink proper amount of warm water after meals and reflux to reduce food irritation to esophagus. Give patients with dysphagia a liquid or semi-liquid diet and fast if necessary. Don't eat for three to four hours before going to bed.